Active NPI
Daniel Pham, PHARMD
- Pharmacotherapy Pharmacist
- San Diego, CA
National Provider Identifier
1992247845
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacotherapy Pharmacist
- License
- 71678
- Practice address
- 1792 Garnet Ave
San Diego, CA 92109-3350 - Phone
- (858) 483-1489
- NPI assigned
- Nov 9, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacotherapy Pharmacist | 1835P1200X | 71678 | CA | Primary |
Addresses
Primary practice location
1792 Garnet Ave
San Diego, CA 92109-3350
Mailing address
1792 Garnet Ave
San Diego, CA 92109-3350
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1478649600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1478649600000",
"number": "1992247845",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1792 GARNET AVE",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921093350"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1792 GARNET AVE",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921093350",
"telephone_number": "858-483-1489"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHAM",
"first_name": "DANIEL",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-11-09",
"last_updated": "2016-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "1835P1200X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacotherapy",
"state": "CA",
"license": "71678",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.